Your  D is not toxic and I would not cut back at all, personally, but definitely not as much as she wants you to.  It would quickly drop into deficiency again.  You need it above 80.

Your iron and protein are great.  And your B12.

Yes, of course you have the right to request all the tests you want.  I get more tests than this every six months!  For instance, I didn't see vitamin K, B6, copper or selenium here.  Just because she's not used to seeing RNY patients get complete sets of labs, does not mean you should not get them.  I would just tell her you know many patients whose surgeons recommend these labs and that you feel more comfortable getting them all done, so please order them.

If you keep the labs to these basics, no doctor should refuse you, and it will give you all the data you would need.

CMP
Phos
MAG
Trig
Pre Albumin
CBC W/ Differential

Trust Me Blood Work can Be Life Or Death
By The Way, Your Blood Work Looks Real Good, Do Not Cut Anything.

Brian

That doesn't give you vitamin D, B12, thiamin, folate, vitamin A, zinc, copper, PTH or lots of other things I think we need.

How can you possibly know how your doing without

iron, ferritin, vitamin B1, B6, B12, folate, vitamin A, Vitamin D3 = 25 hydroxy, PTH, selenium, copper, zinc, vitamin E, vitamin K?

With the few tests that you get, you can't possibly know how your blood levels are and if you are taking the proper dosage of vitamins and if you have any deficiencies.

B1, B6 and B12 can cause nerve damage and other neurological problems.
vitamin A can cause blindness

vitamin D and PTH - are needed to check the status of your bones to prevent osteoporosis

iron, ferritin to prevent anemia

copper can also cause anemia and neurologist problems.

other vitamins have many other symptoms  - all necessary.

Iget full labs every 3 months and sometime more often and they are all necessary.  My doctors order them without my requesting but if I want something extra they will always do it and insurance always pays

I am not sure what vitamins you are taking but most of your labs are good but
there are a few problems

Your hemoglobin is on the high end of normal which is okay but you don't want
it any higher - your iron is also at the top end of normal although your ferritin
is okay but not great.  What type of iron are you taking and how much?

Your B12 and folate are great.  A high B12 is fine and yours is ideal.

A vitamin D of 112 is kind of high and there is a lot of controversy on this
topic.  If you were steadily at around 100-110, that might be great but you
increased from 36 to 112 and that is a hugh jump.  I wouldn't want it to
go any higher and even if it goes down a bit, you will be fine.  I would take it
3 times per week instead of 4 times per week but the full dosage  - dont' cut to
1000mg or your levels will plummet.  When I was up at greater than 150, I cut
from 3 times
per week to once per week of the 50,000 units and my level plummeted to 50
in 2 months.. You want your level to go down slowly so you can adjust it easier.
  That will also help bring up your
PTH.  I h ave never seen a PTH so low - ideally we want to be around 30-40, I
was at 22 at one point when my vitamin D was high but 22 was okay.
The higher your vitamin D, the lower your PTH.  What your doctor has backwards
is a high calcium causes a high PTH, not low and your calcium is perfect, so it
can't be from your calcium - if you cut your vitamin D, your PTH will go up.

Your magnesium is really low and for a magnesium blood test to be that low,
you are really deficient - our bodies naturally make up for magnesium loss and
adjust our blood levels until serious deficiency takes place.  You need to get
some Magnesium Citrate - you can check with vitalady for a proper dosage but
I think it is 250mg with each calcium dose but not sure.  It will also help
you absorb your calcium better.

your liver, kidneys, protein levels are all good.

your zinc is on the low side - you might want to get a zinc supplement also,
again ask vitalady for the dosage.

Do you take vitamin A?  Your A level is on the hgih side.  I used to be very 'v
vitamin A decient and took high dosage dry vitamin A. then all of a sudden
my levels went high (120) and now that I am off all vitamin A, I still can't
get my levels down.  So, if you are taking vitamin A, you should cut your dosage
a bit - ideal levels are around 70 or 80

As far as your vitamin B1 - it is fine to have a high vitamin B1 - you just pee out
the excess of vitmin B1 and B12 but the problem with B complex is that it has
vitamin B6 in it and B6 can get toxic.  Not everyone gets there B6 lvels checked
and almost everyone that does, finds there levels are too high making B complex
not a good idea.  It is better to take just vitamin B1 by it self - 100mg per day and
that usually keeps you where you want to be or a little high.  I was very
deficient and I take 300mg per day

As far as blood testing goes, yes - you should be able to get the necessary blood
tests.  I get a full blood panel with all vitamins and minerals every 3 months and
have since the beginning - I am over 3 years out. I went 6 months or a year,
things would be really bad - I fluctuate a great deal and need monitoring.

I am lucky that my endocrinoligst does my blood work, maybe you should find
one of them.  They are very familari with WLS and what labs need to be done.
Many also have NUT's.   I don't have to ask but I wan't something extra, I just ask
last month I wanted B2 and B3 - she had no problem.